Lake County Primary Care

NPI #1275873424 in Tiptonville, Tennessee

Provider Information

NPI Number
1275873424
Entity Type
Organization
Organization Name
Lake County Primary Care
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 26, 2013
Last Updated
Feb 26, 2013

Practice Location

Address
710 CARL PERKINS PKWY
ZIP Code
38079-1678
Phone
(731) 253-6690

Authorized Official

Name
DR. CAROL WINFRED GUESS, MEDICAL DOCTOR
Title
MEDICAL DIRECTOR
Phone
(731) 253-6690

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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